Basic Information
| Provider Information | |||||||||
| NPI: | 1508921107 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FELIX-VALDES | ||||||||
| FirstName: | VICTOR | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | SR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 CALLE LUHN | ||||||||
| Address2: | URB. VICTOR BRAEGER | ||||||||
| City: | GUAYNABO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009661619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877836497 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | ROAD 172 | ||||||||
| Address2: | URB. TURABO GARDENS | ||||||||
| City: | CAGUAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876530550 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 3104 | PR | Y | Other Service Providers | Specialist |
No ID Information.